WWW Meeting Registration Form - 12th Annual SIMS Workshop
Marriott Hotel Washingtonian Center, Gaitersburg, MD
April 25-28,1999
Name:___________________________________________________________________________
Company/Institution:_______________________________________________________________
Mailing Address:___________________________________________________________________
Mailing Address:___________________________________________________________________
City: _________________ State/Province:___________ Postal Code (Zip):______________
Country: __________________
Telephone: _____________________ Fax: _____________________ Email:_________________
Name and Affiliation as it should appear on your name badge:_______________________
___________________________________________________________________________________
Regular Registration $280.00 (before March 15, 1999) includes reception, continental breakfasts,
breaks, at least one lunch,
and two dinners
Late Registration $380.00 (after March 15, 1999 - no registrations after April 16, 1999)
includes reception, continental breakfasts, breaks, at least one lunch,
and two dinners
Enter Total Registration Amount $____________
Check or Money Order is Enclosed. Make Check Payable to SIMS ___
Charge Total Amount to VISA or MasterCard (no other cards accepted)___
VISA or MasterCard #: _______________________________ Expiration Date
(mm/yr): ____________
Cardholders Signature (required): ___________________________________
This form must by accompanied by full payment for the total amount.
Checks must be in U.S. Dollars and payable through a U.S. bank
We regret that we do not accept purchase orders.
SEND TO: SIMS Workshop Registration, 1201 Don Diego Avenue, Santa Fe, NM 87505 (USA)
FAX: (505) 989-1073 -- Faxed registrations must be charged to VISA or MasterCard